| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,755 |
10,722 |
$1.16M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
909 |
839 |
$2K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
67 |
55 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
649 |
603 |
$328.03 |
| 92552 |
|
13 |
13 |
$183.59 |
| 99173 |
|
28 |
28 |
$106.30 |
| 81002 |
|
358 |
290 |
$2.37 |
| Z6300 |
|
39 |
39 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
147 |
147 |
$0.00 |
| Z6400 |
|
39 |
39 |
$0.00 |
| 90715 |
|
25 |
24 |
$0.00 |
| 99188 |
|
27 |
27 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
364 |
359 |
$0.00 |
| Z1034 |
|
662 |
432 |
$0.00 |
| 90686 |
|
186 |
185 |
$0.00 |
| Z6402 |
|
38 |
38 |
$0.00 |
| Z1038 |
|
27 |
27 |
$0.00 |
| Z6204 |
|
12 |
12 |
$0.00 |
| 99000 |
|
29 |
28 |
$0.00 |
| Z6410 |
|
24 |
23 |
$0.00 |
| TX018 |
|
45 |
30 |
$0.00 |
| Z1032 |
|
68 |
68 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$0.00 |